Manjula Kaloor, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14378 Issued in CA

Practice address

515 E Grand Ave
San Gabriel, CA 91776-2816

Phone

(626) 451-6864

NPI assigned

Jan 19, 2010

Reactivated

Dec 27, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advance Rehab Services, Inc

  • Neurorehabilitation Occupational Therapist
  • San Dimas, CA
  • NPI 1801430061

  Speech-Language Pathologist

  NPD
• Advanced Therapy Center

  • Hand Occupational Therapist
  • Torrance, CA
  • NPI 1265930903

  Speech-Language Pathologist

  NPD
• CJ Physiotherapy Inc

  • Physical Therapist
  • Tustin, CA
  • NPI 1639569312
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1104157817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E GRAND AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917762816",
            "telephone_number": "626-451-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E GRAND AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917762816",
            "telephone_number": "626-451-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALOOR",
        "first_name": "MANJULA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "deactivation_date": "2018-04-06",
        "reactivation_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jung W Seo DDS, Inc
• Susan C Jung, MD
• Justin H. Liao D.D.S. Inc.
• K Cheung, Z Zhou, DDS Inc.
• Sarah Ann Kagawa, BCBA
• Thomas Kanarek
• Lingfei Kang
• Sun Hyung Kang, REGISTERED DIETITIAN
• Julie Kao, O.D.
• Karen H. Chao, O.D., Inc.

• Speech-Language Pathologist in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.